PHARMACOLOGY MEDICATION

A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means. Which of the following is an appropriate response by the nurse?

"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening."

A nurse is transcribing medication prescriptions for a group of clients. Which of the following is the appropriate way for the nurse to record medications that require the use of a decimal point?

0.6 mL

A nurse is preparing to administer a time-critical medication to a client at 0800. Which of the following times are appropriate for the nurse to administer the medication? (Select all that apply.)

0745 0830

incident report

A report documenting an incident and the response to the incident; also known as an occurrence report or event report.

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions?

Acetaminophen 325 mg every 6 hr PRN for headache This prescription contains name of medication, dosage, frequency, and circumstance for administration, but not the route.

A charge nurse is reviewing the types of prescriptions with a newly licensed nurse. Which of the following prescriptions should the nurse include as an example of a standing prescription?

Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C (101.2° F)

A nurse is caring for a client who reports severe back pain at 1400. The client's prescriptions include oxycodone extended-release 20 mg PO every 12 hr (last dose received at 0600) and oxycodone immediate-release 5 mg PO every 4 hr PRN (last dose received at 2300 the day before). Which of the following actions should the nurse take?

Administer oxycodone immediate-release 5 mg PO now.

A nurse discovers a medication error in which the client received twice the prescribed amount of medication. Which of the following actions should the nurse take first?

Assess the client.

A nurse is administering medications to four clients. The nurse should identify which of the following nursing actions as a part of the evaluation phase of the nursing process?

Collecting information about a client's pain level following administration of a narcotic

A nurse working in a medical-surgical unit is preparing to administer medications to a client. The nurse plans to use two forms of identification to verify that she has the right client. Which of the following actions can the nurse take to identify the client? (Select all that apply.)

Compare the name on the client's wristband with the name in the medication administration record (MAR). Ask the client to state his date of birth. Ask the client to state his name. Use the bar code scan to identify the client.

over the counter drugs

Drugs available to consumers without a prescription. Also called nonprescription drugs

A nurse on a medical unit is assisting with the orientation of a newly licensed nurse. The nurse should remind the newly licensed nurse to have a second nurse review the dosage of which of the following medications prior to administration?

Heparin

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions?

Morphine 2.5 mg IV bolus PRN for incisional pain

A nurse is caring for a client who received lisinopril 30 min ago and is now reporting dizziness and headache. Which of the following actions should the nurse take first?

Obtain the client's vital signs.

Standing prescriptions (orders)

Occur when a unit has a standard population of patients and the primary care provider develops a set of standing prescriptions for treating a particular disease or set of symptoms.

single drug order

One time order to be given at specified time

A nurse is assessing a client following administration of an antibiotic. The nurse should identify that which of the following findings is a manifestation of an anaphylactic reaction to the medication?

Swollen lips.

Therapeutic effect

The desired or intended effect of a particular medication.

A nurse is preparing to administer digoxin 225 mcg for a pediatric client who has a heart rate above 90/min. Which of the following actions should the nurse take to ensure administration of the right dose? (Select all that apply.)

Validate that the dosage is within the safe range. Confirm the medication amount is appropriate for the child.

A nurse is preparing to administer medication to a client who has a prescription for docusate sodium 50 mg capsule PO twice daily. The client refuses to take the medication because of nausea. Which of the following actions should the nurse take?

Withhold the medication.

Beta-adrenergic blockers

a class of medication that decreases heart rate and increases dilation of the blood vessels; used primarily in the treatment of angina, hypertension, and glaucoma.

Nurse Practice Act (NPA)

defines the scope and limitations of professional nursing practice; vary from state to state

controlled substances

drugs that produce tolerance and dependence and have potential for abuse or addiction

Routine prescription/standard prescription

identifies medications that are given on a regular schedule. May or may not have a termination date.

Now prescriptions

like a STAT prescription but does not need to be administered STAT, can be administered within 90 minutes

A nurse is preparing to administer insulin subcutaneously to a client. The nurse should document the administration of the medication immediately after which of the following actions?

Injecting the insulin

PRN prescription

as needed

Contraindications

conditions or factors associated with a potential recipient that makes the use of a medication, procedure, or physical agent improper or inadvisable.

common medication errors

• Wrong medication or IV fluid • Incorrect dose or IV rate • Wrong client, route or time • Administration of known allergic medication • Omission of dose • Incorrect discontinuation of medication

A nurse is transcribing a provider's prescription for a client. The prescription reads morphine 2 mg IV bolus at 1400. The nurse should recognize this as which of the following types of medication orders?

Single order

Adverse effects

A general term for any undesirable effects that are a direct response to one or more drugs.

A nurse is preparing to administer a medication to a newly admitted client. The nurse should identify which of the following actions as a part of the assessment phase of the nursing process?

Asking the client about a history of medication allergies

A nurse manager is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication. Which of the following actions should the nurse manager take first?

Assess the client for adverse effects.

Stat prescription

Only administered once, and it is administered immediately

A nurse is preparing to administer an oral medication. Which of the following actions should the nurse take? (Select all that apply.)

Provide client education about the medication. Check the expiration date of the medication. Verify the dosage of the medication. Ask the client if they have any allergies.

A nurse is providing teaching regarding medication administration to a group of newly licensed nurses. Which of the following is a legal responsibility of a nurse?

Reporting medication errors.

A nurse is caring for a client who is to receive topiramate XR 100 mg PO daily. The client tells the nurse that the capsule is too hard to swallow. Which of the following actions should the nurse take?

Request extended-release sprinkles from the pharmacy.

A nurse is preparing to administer a high-alert pain medication to a client. Which of the following actions should the nurse perform during the planning stage of medication administration?

Verify the dosage calculation with another nurse.

A charge nurse is teaching a newly licensed nurse about medication reconciliation. Which of the following information should the charge nurse include in the teaching?

Vitamins, supplements, and over-the-counter (OTC) medications should be included in a medication reconciliation.

A nurse is teaching a newly licensed nurse about crushing medications. The nurse should explain that which of the following medications can be crushed?

Sucralfate tablets